Healthcare Provider Details

I. General information

NPI: 1750067450
Provider Name (Legal Business Name): AMEENA VEST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 LENFANT PLZ SW STE 985
WASHINGTON DC
20024-6104
US

IV. Provider business mailing address

2339 PITTS PL SE APT 302
WASHINGTON DC
20020-4971
US

V. Phone/Fax

Practice location:
  • Phone: 202-282-3004
  • Fax:
Mailing address:
  • Phone: 202-650-9326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number200002878
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: